Peter M Baracks is a Dentist in Medford, New York. Peter M Baracks practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter M Baracks is 1265516454. The last update date is 2007-07-08.
Peter M Baracks's current location address is 2148 Route 112, Medford, New York. You can contact this provider via phone number 6317587370. The mailing address for Peter M Baracks is 2148 Route 112, Medford, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter M Baracks |
|---|---|
| Address | 2148 Route 112, Medford, New York |
| Phone Number | 6317587370 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1265516454 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2148 Route 112 |
|---|---|
| City | Medford |
| State | New York (NY) |
| Post Code | 117633646 |
| Phone Number | 6317587370 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 34681 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peter M Baracks by the Centers for Medicare & Medicaid Services?
The Peter M Baracks has been issued the NPI (National Provider Identifier) 1265516454, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Peter M Baracks is geographically located?
The Peter M Baracks is physically situated at the following location: 2148 Route 112, Medford, NY, 117633646.
What is the Peter M Baracks's area of specialization and corresponding taxonomy classification?
The Peter M Baracks's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265516454 to Peter M Baracks?
The Centers for Medicare & Medicaid Services originally issued the 1265516454 to Peter M Baracks on 2006-10-24.
As of what date was the information pertaining to Peter M Baracks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Peter M Baracks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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